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It appears that a portion of the form is repeated
its Director or designee, or Medical Records Department, to release information contained in my records, including alcohol and drug abuse records protected under the regulations in 42 Code of Federal Regulations, Part 2, if any, psychological services records, if any, and social services records, if any, including communications made by me to a social worker or psychologist, and any information regarding communicable diseases and serious communicable diseases and infections as defined by MCLA 333.5131 which includes venereal diseases, tuberculosis, HIV, AIDS or ARC, if any, to the individual or organization listed.
Its Director or designee, or Medical Records Department, to release information contained in my records, including alcohol and drug abuse records protected under the regulations in 42 Code of Federal Regulations, Part 2, if any, psychological services records, if any, and social services records, if any, including communications made by me to a social worker or psychologist, and any information regarding communicable diseases and serious communicable diseases and infections as defined by MCLA 333.5131 which includes venereal diseases, tuberculosis, HIV, AIDS or ARC, if any, to the individual or organization listed.
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